# Serenity Healthcare Services Limited

Serenity Healthcare Services Limited is a CQC-regulated home-care agency in Bolton.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Good |
| Safe | Good |
| Effective | Good |
| Caring | Good |
| Responsive | Good |
| Well-led | Requires improvement |

Rating published: 11/03/2022

## Practical info

- Postcode: BL1 8DF
- Registered manager: Adinnu, Sylvia
- Local authority: Bolton
- Region: North West
- City: Bolton
- Last CQC check: 11/Mar/2022 - 00:00

## Inspection findings

### caring

- Finding
  - Respecting and promoting people's privacy, dignity and independence
  - Published: 2022-03-11
- Finding
  - Supporting people to express their views and be involved in making decisions about their care
  - Published: 2022-03-11
- Finding
  - Ensuring people are well treated and supported; respecting equality and diversity
  - Published: 2022-03-11

### effective

- Finding
  - Ensuring consent to care and treatment in line with law and guidance
  - Published: 2022-03-11
- Finding
  - Staff working with other agencies; Supporting people to access healthcare services
  - Published: 2022-03-11
- Finding
  - Supporting people to eat and drink enough to maintain a balanced diet
  - Published: 2022-03-11
- Finding
  - Staff support: induction, training, skills and experience
  - Published: 2022-03-11
- Finding
  - Assessing people's needs and choices; delivering care in line with standards, guidance and the law
  - Published: 2022-03-11

### Other

- Finding
  - Evidence: Relative reported staff were kind, compassionate, punctual and reliable
  - Published: 2022-03-11
- Finding
  - Evidence: Regular supervision meetings and staff induction in place
  - Published: 2022-03-11
- Finding
  - Evidence: Person-centred care plans developed with involvement of the person and their relative
  - Published: 2022-03-11
- Finding
  - Evidence: Staff followed safe infection control practices and had good stocks of PPE
  - Published: 2022-03-11
- Finding
  - Evidence: Safe recruitment processes including DBS checks
  - Published: 2022-03-11
- Finding
  - Evidence: Staff trained in safeguarding adults and children and knew how to keep people safe
  - Published: 2022-03-11
- **record_keeping** _(moderate)_
  - Evidence: Daily notes, where staff recorded what care had been provided during visits were poorly written, as they did not provide enough detail, and some were illegible.
  - Published: 2022-03-11
- **governance** _(moderate)_
  - Evidence: The registered manager had not implemented a system for auditing documentation. Consequently, poor record keeping in the daily notes had not been identified.
  - Published: 2022-03-11
- **record_keeping** _(moderate)_
  - Evidence: some records only said, 'Got [person] up' or 'put [person] to bed', with no further information about how the care had been provided.
  - Published: 2022-03-11

### responsive

- Finding
  - Improving care quality in response to complaints or concerns
  - Published: 2022-03-11
- Finding
  - Meeting people's communication needs
  - Published: 2022-03-11
- Finding
  - Planning personalised care to ensure people have choice and control and to meet their needs and preferences
  - Published: 2022-03-11

### safe

- Finding
  - Using medicines safely
  - Published: 2022-03-11
- Finding
  - Preventing and controlling infection
  - Published: 2022-03-11
- Finding
  - Staffing and recruitment
  - Published: 2022-03-11
- Finding
  - Assessing risk, safety monitoring and management; Learning lessons when things go wrong
  - Published: 2022-03-11
- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2022-03-11

### well_led

- Finding
  - How the provider understands and acts on the duty of candour
  - Published: 2022-03-11
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering
  - Published: 2022-03-11
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements; Continuous learning and improving care
  - Published: 2022-03-11

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-8592692038

HomeCare Compass is an independent guide and is not affiliated with the CQC.